CLIA lab
CLIA 31D2350467: DR Mack Functional & Family Medicine
Pine Brook, NJ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 31D2350467 belongs to DR Mack Functional & Family Medicine in Pine Brook, NJ.
Certificate of Waiver, effective September 10, 2026, expires September 9, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 10, 2026
- Certificate expiration
- September 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2026
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 31D2350467
- Lab name
- DR Mack Functional & Family Medicine
- Additional name
- , PC
- Address
- 40 Route 46, Pine Brook, NJ 07058
- Phone
- (914) 588-4454
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine Brook, NJ
- New Pathway Counseling - Pine BrookCertificate of Waiver, Ancillary test site31D2277328
- P4 Clinical, LLCCertificate of Accreditation, Independent31D0106549
- Rio Grande Pathology Services, PACertificate of Registration, Independent31D2344553
- Si Paradigm LLCCertificate of Accreditation, Independent31D1028659
Related
Questions
What is the CLIA number for DR Mack Functional & Family Medicine in Pine Brook?
31D2350467, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Mack Functional & Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 31D2350467 expire?
The CMS file lists September 9, 2028 as the certificate expiration date; the certificate took effect September 10, 2026.